Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Garrett Mikel Breazeale, PA

Individual provider Medical Physician Assistant · NPI 1760063481

Garrett Mikel Breazeale, PA is a Medical Physician Assistant in Aurora, Colorado. Licensed in Colorado. Registered with an NPI since 2021.

Licensed in
CO
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13123 E 16th Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0007021 (CO)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1760063481
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

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